The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: E
Nursing home report
Midlands Living Center L L C
Council Bluffs, IA · Medicare-certified · 94 beds
In good standing
For-profit
Data as of July 1, 2026
4 of 5 overall
Midlands Living Center L L C has an overall rating of 4 out of 5 stars, with strong quality measures (5 stars) and staffing (4 stars), but a middling health inspection rating (3 stars). Reported nurse staffing is 3.78 hours per resident day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.7792 hrs/resident/day
Quality measures
Last inspection: January 8, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7792.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 0.82
- Nurse aides
- 2.31
- Weekend nursing
- 3.27
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 18%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
11.9%9.8%Improving
Residents with a fall causing major injury
5.4%10%Worsening
Residents with pressure ulcers (bedsores)
3.3%6.4%Worsening
Residents with a urinary tract infection
0%3.4%Worsening
Residents who lost too much weight
0%4.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.8%19.6%Worsening
Residents whose ability to walk got worse
11%16.3%Worsening
Long-stay residents on antianxiety or sleep medication
6.1%8.5%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%1.5%Worsening
Residents with new or worsening incontinence
25.8%36.6%Worsening
Residents with depressive symptoms
0%10.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
94.6%96.7%Improving
Short-stay residents given the seasonal flu vaccine
—73.1%—
Short-stay residents given the pneumonia vaccine
80.5%78.7%Worsening
What the inspectors found
The home failed to properly train staff about dementia care and how to recognize and report abuse, neglect, and exploitation. Cited December 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 943 — 42 CFR §483.95 — S/S: E
The home failed to ensure residents who could safely take their own medicines were allowed to self-administer them. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 554 — 42 CFR §483.10 — S/S: D
The nursing home failed to provide services that met professional standards of quality. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 688 — 42 CFR §483.25(c) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 70.4 residents on an average day (75% of 94 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 24 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.